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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHOnE 4:30 P.M. - 8:00 A.M. <br /> <br />Other~ <br /> <br />DATE; 11/17/@7 TIME <br />OWNER; <br /> KNOX, 1'41C~AEL <br /> <br />10985 JAMES WAY DR <br /> <br />2: ~ 0: 24~ ~ <br /> [ COnStRUCTION +YPE: i OCCUPANCY: <br /> , ~ MGe: ~OGCUPANT LOAD: <br /> <br />AUMSVILLE OR 9?325 , <br /> ,~4~.;~ON · ~-~UN,,,,¥. · - k NO <br />USE os 6UlLO,~i i,o O~ ~Eo,ooMs: <br /> <br />MAILING ADDRBSS; SING[;E F~'ILY ~EL~'IN~ <br /> <br /> PH(~E; 789~7289 SITE NUNBER; 2741 <br /> VALUAT <br /> <br />W{DTH: :DEPTH: ~ AREA: ~ UNITS: [ tRREQ. LOT: CO~NER: <br /> <br />TYPE: PLUMS[NG <br /> <br />PERMIT OR APPLICATION NO: 5341 <br /> <br />CONTRACTOR, NO. 33506 <br />LINDEMANN CONST <br />PO BOX 869 <br />MEHAMA OR 97384 <br />PHONE; 859-3117 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEW CONST_ <br />PLUMBING BA,.SE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE: <br />RECEIVED SY: pb <br /> <br />QUANTITY AMOUNT <br /> 10 $75.00 <br /> $10_00 <br /> <br /> $4.25 <br /> <br /> :TO A :: SSSED F ES <br /> ~REVi'OUSRECEIPTS <br /> ~ IS~ECE~ pT ', <br />:'BALANCE' DUE <br /> ,, :'RECEIPT NO: <br /> ~¥PE: CHECK <br /> <br />¢93.09 <br /> 93.09 <br /> $8,00 <br /> <br />* THIS ZS A VALID PERNIT * TH'iS :t>~I~II'T~EX~,I. RIB~ 180:;~ ~F~ ~ I~E ~T5. ZF <br />~T~CTI~ C~ FOR A P~IOD OF 180 ~'IP;~T~CTI~ FAILS TO NE~T ALL <br />R~IR~TS OF STATE ~: ~O: ~I~:,~ BUIEDI~i ~D Z~I~ ORBITS. ~IS ~IT <br />~ALL BE~ NULL ~D VOID'. <br /> <br />REMARKS: ;0 ',=~X R~8068 <br />OONALD E, ~O00LEY, ~RION COUN~ BUILDING OFFICIAL /'8F __'_ .....................~ <br /> <br />;OR~ · ~C ~'~,e ~v ~/~7 OFFICE COPY <br /> <br /> <br />